Three-Dimensional Printed BGS Treat a Large Bone Defect in a Rabbit Model.

This study aimed to evaluate if the 3D printed bioactive glass porous scaffolds (BGS) can improve the reconstruction of the large bone defect. A rabbit model of large bone defects was established by making a 1.0 or 1.5 cm segmental defect in the middle of the femur bone. Then a 1.0 or 1.5 cm BGS was implanted into the bone defect. X-ray imaging showed that in both 1.0 and 1.5 cm groups, the newly formed bone tissue could be observed at 4 weeks after implantation, but a strengthened ossification trend could be observed at different time points. In the 1.0 cm group, a larger number of newly formed bone tissues were observed at 4 weeks, and in the 1.5 group, more newly formed bone tissues were found at 8 weeks. Nevertheless, ossified tissue generation on the BGS mainly completed at 12 weeks after implantation in both groups. The H&E staining revealed that the 3D BGS was easily degraded to form osteoid-like material in vivo, where the neo-ossification gradually occurred from the edge to the center. Immunohistochemical analysis showed that in the 1.0 group, protein expressions of three osteogenesis-related genes- BMP, collagen I and RUNX-2-all peaked at 8 weeks, and then gradually decreased at 12 and 18 weeks. In the 1.5 group, BMP and collagen I peaked at 18 weeks.

Formation of EGCG oxidation self-assembled nanoparticles and their antioxidant activity in vitro and hepatic REDOX regulation activity in vivo.

(-)-Epigallocatechin-3-gallate (EGCG) is a major polyphenol in tea and exerts several health-promoting effects. It easily autoxidizes into complex polymers and becomes deactivated due to the presence of multiple phenolic hydroxyl structures. Nonetheless, the morphology and biological activity of complex EGCG polymers are yet to be clarified. The present study demonstrated that EGCG autoxidation self-assembled nanoparticles (ENPs) exhibit antioxidant activity in vitro and hepatic REDOX homeostasis regulation activity in vivo. Also, the formation of ENPs during the EGCG autoxidation process was based on the intermolecular interaction forces that maintain the stability of the nanoparticles. Similar to EGCG, ENPs are scavengers of reactive oxygen species and hydroxyl radicals in vitro and also regulate hepatic REDOX activity through liver redox enzymes, including thioredoxin reductase (TrxR), thioredoxin (Trx), glutathione reductase (GR), glutaredoxin (Grx), and glutathione S-transferase (GST) in vivo. Moreover, ENPs activate the NRF2 antioxidant-responsive element pathway, exerting a detoxification effect at high doses. Unlike EGCG, ENPs do not cause liver damage at low doses and also maintain liver biosafety at high doses through self-assembly, forming large particles, which is supported by the unchanged levels of liver damage biomarkers, including serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), liver γ-phosphorylated histone 2AX (γ-H2AX), and P53-related genes (Thbs, MDM2, P53, and Bax). Collectively, these findings revealed that ENPs, with adequate biosafety and regulation of hepatic redox activity in vivo, may serve as substitutes with significant potential for antioxidant applications or as food additives to overcome the instability and liver toxicity of EGCG.

Oral Health Status and Literacy/Knowledge Amongst Pregnant Women in Shanghai.

BACKGROUND: The changes in hormones, diet, and hygiene associated with pregnancy are associated with oral diseases. There is insufficient awareness of the importance of oral health during pregnancy. This study investigated the oral health status and knowledge amongst pregnant women in Shanghai. METHODS: This cross-sectional study enrolled pregnant women at the Shanghai Red House Obstetrics & Gynecology Hospital in December 2020. The Fourth National Oral Health Questionnaire was used to evaluate the oral health status. Decayed/missing/filled teeth (DMFT) were the sum of the number of decayed, missing due to caries, and filled teeth. The chi-square test and Kruskal-Wallis test were used to compare the groups. RESULTS: A total of 224 pregnant women were enrolled. The rates of dental caries were 69.8%, periodontal health was 1.8%, calculus detection was 95.6%, shallow periodontal pocket was 51.1%, deep periodontal pocket was 4.9%, regular oral examination was 22.8%, correct brushing was 49.6%, and prepregnancy oral examination was 20.1%. DMFT was 2.27, and the caries filling ratio was 45.4%. The number of missing teeth increased with age (P < .001). Only 26.3% used dental floss more than once a day, 47.3% rinsed the mouth more than twice a day, and 46.9% cleaned their tongue coating every week. In addition, 99% of the pregnant women agreed that "oral health was vital to their lives" and 97.7% agreed that "regular oral examination was necessary." CONCLUSIONS: The oral health status amongst pregnant women in Shanghai was poor, but oral health awareness and attitudes were relatively high.

A high-frequency SSVEP-BCI system based on a 360 Hz refresh rate.

Objective. Steady-state visual evoked potential (SSVEP) based brain-computer interfaces (BCIs) often struggle to balance user experience and system performance. To address this challenge, this study employed stimuli in the 55-62.8 Hz frequency range to implement a 40-target BCI speller that offered both high-performance and user-friendliness.Approach. This study proposed a method that presents stable multi-target stimuli on a monitor with a 360 Hz refresh rate. Real-time generation of stimulus matrix and stimulus rendering was used to ensure stable presentation while reducing the computational load. The 40 targets were encoded using the joint frequency and phase modulation method, offline and online BCI experiments were conducted on 16 subjects using the task discriminant component analysis algorithm for feature extraction and classification.Main results. The online BCI system achieved an average accuracy of 88.87% ± 3.05% and an information transfer rate of 51.83 ± 2.77 bits min-1under the low flickering perception condition.Significance. These findings suggest the feasibility and significant practical value of the proposed high-frequency SSVEP BCI system in advancing the visual BCI technology.

Assessing Biomaterial-Induced Stem Cell Lineage Fate by Machine Learning-Based Artificial Intelligence.

Current functional assessment of biomaterial-induced stem cell lineage fate in vitro mainly relies on biomarker-dependent methods with limited accuracy and efficiency. Here a "Mesenchymal stem cell Differentiation Prediction (MeD-P)" framework for biomaterial-induced cell lineage fate prediction is reported. MeD-P contains a cell-type-specific gene expression profile as a reference by integrating public RNA-seq data related to tri-lineage differentiation (osteogenesis, chondrogenesis, and adipogenesis) of human mesenchymal stem cells (hMSCs) and a predictive model for classifying hMSCs differentiation lineages using the k-nearest neighbors (kNN) strategy. It is shown that MeD-P exhibits an overall accuracy of 90.63% on testing datasets, which is significantly higher than the model constructed based on canonical marker genes (80.21%). Moreover, evaluations of multiple biomaterials show that MeD-P provides accurate prediction of lineage fate on different types of biomaterials as early as the first week of hMSCs culture. In summary, it is demonstrated that MeD-P is an efficient and accurate strategy for stem cell lineage fate prediction and preliminary biomaterial functional evaluation.

Restoring the electrical microenvironment using ferroelectric nanocomposite membranes to enhance alveolar ridge regeneration in a mini-pig preclinical model.

The maintenance and incremental growth of the alveolar bone at the tooth extraction site, to achieve the required height and width for implant restoration, remains a major clinical challenge. Here, the concept of restoring the electrical microenvironment to improve the effects of alveolar ridge preservation (ARP) was investigated in a mini-pig preclinical model. The endogeneous electrical microenvironment of the dental alveolar socket was recapitulated by fabricating a biomimetic ferroelectric BaTiO3/poly(vinylidene fluoridetrifluoroethylene) (BTO/P(VDF-TrFE)) non-resorbable nanocomposite membrane polarized by corona poling. The polarized nanocomposite membrane exhibited excellent electrical stability. After implantation with bone grafts and covering with the charged membrane in tooth extraction sites for three months, both the vertical and horizontal dimension resorption of the alveolar ridge were significantly prevented, as assessed by cone beam computed tomography (CBCT) analyses. Micro-CT analysis showed that the charged membrane induced significant enhancement of newly regenerated bone at the tooth extraction sites. Histological analysis further confirmed that the restoration of the electrical microenvironment significantly promoted buccal alveolar bone regeneration and maturation. In addition, the charged membranes can maintain their structural integrity during the entire implantation period and exhibit positive long-term systemic safety, as assessed by preclinical sub-chronic systemic toxicity. These findings thus provide an innovative strategy for restoring the electrical microenvironment to enhance ARP following dentition defect and edentulism, which could further advance prosthodontics implant technology.

Application of a Systematic Oral Health Promotion Model for Pregnant Women: A Randomised Controlled Study.

PURPOSE: To explore the effects of oral health promotion management on the improvement of oral healthcare knowledge, attitudes, and behaviours in pregnant women. MATERIALS AND METHODS: This randomised study included pregnant women in Shanghai (China) who were randomly assigned to receive oral-health promotion management (intervention group) or no interventions (control group). The primary outcome for this study was overall oral health. The secondary outcomes included oral health awareness and attitudes, oral health knowledge, oral healthcare behaviours, medical visits, and risk factors. The Fourth National Oral Health Questionnaire was self-administered in this study, and oral examinations included caries and periodontal status. Data consistency was assessed by the Kappa coefficient. RESULTS: After intervention, periodontal outcomes in the intervention group had improved statistically significantly, and the proportion of those without periodontal diseases had statistically significantly increased to 14.4% (p < 0.05). In the intervention group, statistically significant improvements were also observed in the number of active caries (p < 0.001), number of filled teeth (p = 0.014), and community periodontal index (CPI) scores (p < 0.001). Overall, after intervention, pregnant women demonstrated comprehension of the importance of children's deciduous teeth, and their knowledge of the importance of good oral health had greatly improved. Further, oral healthcare habits in the intervention group also showed statistically significant improvement: 56.8% established the habit of cleaning the tongue every week (p < 0.05) and 39.6% established the habit of regular oral examination (p < 0.05). CONCLUSION: Oral healthcare education and promotion management for pregnant women can effectively improve their oral health, knowledge, attitudes, and behaviours of oral health care.

Adsorption of cationic dye from water using an iron oxide/activated carbon magnetic composites prepared from sugarcane bagasse by microwave method.

In this work, using an agricultural waste of sugarcane bagasse, new biomass of magnetic sugarcane bagasse activated carbon (MSBAC) has been successfully prepared by a simple microwave method. The composition and structure of MSBAC were characterised by SEM, XRD, BET, and FT-IR. It was found that MSBAC was a mesoporous material with a loose structure and rough surface, and it had a high specific surface area. The pHPZC was 4.1, and MSBAC presented a greater amount of acid functional groups than basic groups, making it efficient for adsorption of cationic dye. To study the adsorption ability of MSBAC, methylene blue (MB) was selected as sample pollutant. Effects of pH, MSBAC dosage, initial MB concentration, temperature, time on the adsorption of MB, and the possibility of regeneration of MSBAC were investigated. The adsorption results showed that the maximum adsorption capacity was 36.14 mg·g-1, and the pH had no significant effect on the MB adsorption in the range of 2-10. The equilibrium data fitted Langmuir isotherm, and the adsorption kinetic data obeyed pseudo-second-order kinetic model. The adsorption process involving the surface diffusion and film diffusion. The positive value of ΔH revealed the adsorption behaviour was an endothermic process. The salt concentration had a negative effect on MB removal. MSBAC had a good magnetic separation performance. The used MSBAC could be regenerated by a simple calcination method under the temperature of 300℃ for 30 min.

Phase III HEAT Study Adding Lyso-Thermosensitive Liposomal Doxorubicin to Radiofrequency Ablation in Patients with Unresectable Hepatocellular Carcinoma Lesions.

Purpose: Lyso-thermosensitive liposomal doxorubicin (LTLD) consists of doxorubicin contained within a heat-sensitive liposome. When heated to ≥40°C, LTLD locally releases a high concentration of doxorubicin. We aimed to determine whether adding LTLD improves the efficacy of radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) lesions with a maximum diameter (dmax) of 3 to 7 cm.Experimental Design: The HEAT Study was a randomized, double-blind, dummy-controlled trial of RFA ± LTLD. The 701 enrolled patients had to have ≤4 unresectable HCC lesions, at least one of which had a dmax of 3 to 7 cm. The primary endpoint was progression-free survival (PFS) and a key secondary endpoint was overall survival (OS). Post hoc subset analyses investigated whether RFA duration was associated with efficacy.Results: The primary endpoint was not met; in intention-to-treat analysis, the PFS HR of RFA + LTLD versus RFA alone was 0.96 [95% confidence interval (CI), 0.79-1.18; P = 0.71], and the OS HR ratio was 0.95 (95% CI, 0.76-1.20; P = 0.67). Among 285 patients with a solitary HCC lesion who received ≥45 minutes RFA dwell time, the OS HR was 0.63 (95% CI, 0.41-0.96; P < 0.05) in favor of combination therapy. RFA + LTLD had reversible myelosuppression similar to free doxorubicin.Conclusions: Adding LTLD to RFA was safe but did not increase PFS or OS in the overall study population. However, consistent with LTLD's heat-based mechanism of action, subgroup analysis suggested that RFA + LTLD efficacy is improved when RFA dwell time for a solitary lesion ≥45 minutes. Clin Cancer Res; 24(1); 73-83. ©2017 AACR.

High modulus nanopowder reinforced dimethacrylate matrix composites for dental cement applications.

Results from the study of a novel, high modulus nanopowder filled resin composite are presented. This composite is developed to serve (1) as a high stiffness support to all-ceramic crowns and (2) as a means of joining independently fabricated crown core and veneer layers. Nanosized Al(2)O(3) (average particle size 47 nm) reinforcement provides stiffness across joins. Two systems are examined: Al(2)O(3) with 50:50 bis-GMA:TEGDMA monomers (ALBT) and Al(2)O(3) with pure TEGDMA (ALT). To obtain higher filler levels, surfactant is used to aid mixing and increase maximum weight percent of nanopowder filler from 72 to 80. The loading level of Al(2)O(3) has significant effects on composite properties. The elastic modulus for cured ALBT systems increases from 4.6 GPa (0 wt % filler) to 29.2 GPa (80 wt % filler). The elastic modulus for cured ALT systems increases from 3.0 GPa (0 wt % filler) to 22.9 GPa (80 wt % filler). Similarly, ALBT hardness increases from 200 MPa (0% filler) to 949 MPa (80 wt % filler), and ALT hardness increases from 93 MPa (0% filler) to 760 MPa (80 wt % filler). Our results indicate that with a generally monodispersed nanosized high modulus filler relatively high elastic modulus resin based composite cements are possible.

Exploring naturally occurring ivy nanoparticles as an alternative biomaterial.

Arabinoglactan protein (AGP)-rich nanoparticles obtained from the sticky exudates of Hedera helix (English ivy), have shown promising potential to be used in nanomedicine owing to their excellent aqueous solubility, low intrinsic viscosity, biocompatibility, and biodegradability. In this study, the feasibilities of utilizing ivy nanoparticles (INPs) as nano-carriers for delivering chemotherapeutic drugs in cancer therapy and as nano-fillers to develop novel scaffolds for tissue engineering in regenerative medicine are evaluated. Via electrostatic and hydrophobic interactions, pH-responsive nanoconjugates are formed between the INPs and the doxorubicin (DOX) with an entrapment ratio of 77.9±3.9%. While the INPs show minimal cytotoxicity, the formed INP-DOX conjugates exhibit substantially stronger cytotoxic activity than free DOX against multiple cancer cell lines, suggesting a synergistic effect is established upon conjugation. The anti-cancer effects of the INP-DOX conjugates are further evaluated via in vivo xenograft assays by subcutaneously implanting DOX resistant cell line, SW620/Ad-300, into nude mice. The tumor volumes in mice treated with the INP-DOX conjugates are significantly less than those of the mice treated with free DOX. In addition, the INPs are further exploited as nano-fillers to develop fibrous scaffolds with collagen, via mimicking the porous matrix where the INPs are embedded under natural condition. Enhanced adhesion of smooth muscle cells (SMCs) and accelerated proliferation of mouse aortic SMCs are observed in this newly constructed scaffold. Overall, the results obtained from the present study suggest great potential of the INPs to be used as biocompatible nanomaterials in nanomedicine. The AGP-rich INP renders a glycoprotein architecture that is amenable for modification according to the functional designs, capable of being developed as versatile nanomaterials for extensive biomedical applications. STATEMENT OF SIGNIFICANCE: Naturally occurring organic nanomaterials have drawn increasing interest for their potential biomedical applications in recent years. In this study, a new type of naturally occurring nanoparticles obtained from the sticky exudates on the adventitious roots of English ivy (H. helix), was explored for its potential biomedical application. In particular, the feasibilities of utilizing ivy nanoparticles (INPs) as nano-carriers for delivering chemotherapeutic drugs in cancer therapy and as nano-fillers to develop novel scaffolds for tissue engineering in regenerative medicine were evaluated both in vitro and in vivo. Overall, the results obtained from the present study suggest the great potential of the INPs to be used as biocompatible nanomaterials in nanomedicine. This study may open a totally new frontier for exploring the biomedical application of naturally occurring nanomaterials.

[Effect of self-made colloid paste on gingival retraction in dogs].

PURPOSE: To evaluate the efficiency of self-made paste on gingival retraction in dogs as well as its potential clinical application. METHODS: Forty teeth from two mature dogs were prepared with 0.5 mm wide shoulder in the lip and buccal sides of the teeth, and then divided into four groups randomly. The gingival grooves of the four groups were filled with self-made colloid paste, Expasyl gingival retraction paste, gingival retraction cord, and medicated (15.5% Fe2SO4 solution) gingival retraction cord, respectively. The gingival grooves models before and after gingival retraction were analyzed using the image precise mapper instrument; the gingival width and height of the gingival groove were compared using SAS6.12 software package. RESULTS: The changes of gingival width of the gingival groove before and after gingival retraction were not significant between the four groups. However, the gingival height of the gingival groove in the medicated gingival retraction cord group increased significantly [(0.423 + or - 0.348) mm before gingival retraction and (0.623 + or - 0.278) mm after gingival retraction] compared with the other three groups. CONCLUSIONS: The self-made colloid paste for gingival retraction is efficient like Expasyl gingival retraction paste and gingival retraction cord with potential clinical application, while the medicated gingival retraction cord can induce gingival shrinkage. Supported by Research Fund of Science and Technology Bureau of Huangpu District,Shanghai.

[The influence of Streptococcus sanguis on corrosion resistance of magnetic retainer].

PURPOSE: To study the effect of Streptococcus sanguis on corrosion resistance of magnetic retainers in which are encapsulated with stainless steel artificial saliva. METHODS: A magnetic retainer was put in one culture flask,which was filled with artificial saliva.Ten of them were added Streptococcus sanguis suspension,the others were added PBS as control.The culture flasks were cultivated in incubator(36 degrees centigrade). 5 ml suspension was dislodged from each flask at the 3rd, 10th and 20th day. The quantity of Fe(3+) and Mn(2+) was detected.Statistical analysis of paired t test was performed with SPSS10.0 software package. RESULTS: When Streptococcus sanguis existed, the quantity of Fe(3+) and Mn(2+) was significantly higher than that in the control (P<0.01). CONCLUSION: The existence of Streptococcus sanguis destroys the corrosion resistance of magnetic retainers remarkably.

[The efficacy of dental plaque removed by using sonic electric toothbrush in children].

PURPOSE: To evaluate the efficacy of using sonic electric toothbrush to clean the teeth and control dental plaque in children. METHODS: 50 children aged 6 to 7 years old were selected and divided into 2 groups according to the use of sonic electric toothbrush and traditional manual toothbrush (control group). The numbers of dental plaque surface and PLI before and after tooth brushing were recorded. The data of the two groups were analyzed with SPSS10.0 software package for student's t test and chi(2) test. RESULTS: The ratio of dental plaque removal was 70.22% by using sonic electric toothbrush and 39.08% in the control group. The efficacy of dental plaque removal on the lingual and mesial buccal surface by using sonic electric toothbrush was 2 times greater than the control group. The PLI and the ratio of dental plaque removal were significantly different between the 2 groups (P<0.001). CONCLUSIONS: Sonic electric toothbrush can help children effectively remove dental plaque. It's an efficient instrument for oral care of children.

[Analysis of conservative therapies for posterior teeth with longitudinal fractures.].

PURPOSE: To explore the ideal method for conservative therapies of posterior teeth with longitudinal fracture. METHODS: The records of 297 cases undergoing conservative treatment of posterior teeth with longitudinal fracture were analyzed regarding to the position, etiology and the time of treatment from fracture and the causes of failure. RESULTS: 258 cases were conserved effectively and 39 cases were extracted due to failure.16 cases had failure 1 week after treatment. All the patients were followed up for 2 to 10 years, and the rate of success was 86.87%. CONCLUSION: With fixed early and appropriate treatment, the teeth can be conserved effectively and exert good masticatory function .